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INTRO TO CODE BLUE
PURPOSE
Experience management of code blues Suggest plans for acute care cases
Practice leadership and teamwork Practice early CPR and defibrillation
skills
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Pengertian
“Suatu tanda atau sinyal yang digunakan oleh
rumah sakit untuk memberitahu bahwa seseorang
membutuhakan tindakan resusitasi, yaitu pasien
yang mengalami henti nafas dan henti jantung”
Ruang lingkup : seluruh lingkungan RS , IGD, rawat
inap, kamar operasi, ruangan intensif, rawat jalan,
tempat pemeriksaan penunjang, dll
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TIM
Code blue response team atau tim code blue adalah
suatu tim yang dibentuk oleh rumah sakit yang bertugas
merespon kondisi code blue didalam area rumah sakit.
Tim ini terdiri dari DOKTER dan PERAWAT yang
sudah terlatih dalam penanganan
kondisi cardiac respiratory arrest.
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TIM
LEADER (DOKTER JAGA/PPDS)
Perawat AIRWAY
Perawat BREATHING
Perawat COMPRETION
Perawat DEFIBRILASI
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INTRO TO CODE BLUE
KASUS-KASUS CODE BLUE
Tension Pneumothorax
| Pulseless VT
ACS | VF
Anaphylaxis | Asystole
Upper GI Bleed | PEA
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INTRO TO CODE BLUE
KASUS-KASUS Code Blue
Hypovolemia Tension PTX
Hypoxia
Tamponade
Hydrogen ion Toxins
Hyper/hypokalemia Thrombosis
(pulmonary)
Hypothermia Thrombosis (coronary)
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INTRO TO CODE BLUE
PENILAIAN
PRIMARY SURVEY
Assessment Action
ABC Help, O2, IV, Monitor
SECONDARY SURVEY
Assessment Action
Riwayat, TTV, Pemfis Tindakan / treatment
CODE BLUE
Assessment Action
Irama, Nadi CPR/Defib, EPI
INTRO TO CODE BLUE
PRIMARY SURVEY
Primary Assessment Action
Survey Examples Examples
Segera, Airway: kepatenan, Call for help
mengancam jiwa sekresi, obstruksi
O2
Breathing: RR, Sat.
O2, suara napas, Needle
deviasi trakea decompression
Circulation: HR, IV
tekanan darah,
perdarahan, suhu Monitor
Cairan
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NTRO TO CODE BLUE
SECONDARY SURVEY
Secondary Assessment Action
Survey
Pengkajian History (SAMPLE) Investigasi
sistematis Signs and
symptoms Diagnosis banding
Allergies
Medications Treatments
PMHx
Last oral intake
Events prior
TTV
PengkajianHead-to-
toe 10
NTRO TO CODE BLUE
EARLY CPR, EARLY DEFIBRILLATION
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INTRO TO CODE BLUE
ARREST RHYTHMS
VF
Only 2
“shockable”
(defib) arrest
rhythms
Pulseless VT
Asystole Other arrest
rhythms,
including
Everything else with NO
pulse is PEA (Pulseless PEA asystole and
PEA, should NOT
Electrical Activity)
be defib 12
NTRO TO CODE BLUE
CODE BLUE ALGORITHMS
Pulseless VT, VF
SHOCK 2min CPR
Rhythm/Pulse SHOCKEPI 2min CPR
Rhythm/Pulse
Asystole, PEA
Nothing 2min CPR
Rhythm/Pulse NothingEPI 2min CPR
Rhythm/Pulse
Shockable (Pulseless VT, VF): try 2 shocks before EPI
Non-shockable (Asystole, PEA): may give EPI early
1:10,000 EPI 1mg IV q4 min
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INTRO TO CODE BLUE
CODE BLUE EXAMPLE
No response, not breathing
Rhythm Pulse Assessment Action
VT None Pulseless VT Start CPR
arrest 200J shock/defib
2 minutes of
CPR
VF None VF arrest Resume CPR
200J shock/defib
1mg epi
1:10,000 IV
2 minutes of
CPR
Asystole None Asystole Resume CPR
No shock/defib
2 minutes of
CPR
Bradycardia None PEA Resume CPR
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No shock/defib
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